Laserfiche WebLink
Appendix C <br />PR.561.SCO <br />OCDSB 910 <br />OCDSB 910: Concussion Awareness Tool <br />Identification of Suspected Concussion <br />Any blow to the head, face or neck, or a blow to the body that transmits a force to the head, may cause a concussion. If a <br />student displays any one or more of the signs or symptoms outlined in the chart below and/or the student fails the Quick <br />Memory Function Assessment, the student shall be considered to have a suspected concussion. If student needs <br />medical attention, call 911 immediately. <br />1. Check appropriate box <br />An incident occurred involving _________________________________ (student name) on ________________ (date). <br />The student reported symptoms of a concussion as outlined below; OR <br />None of the symptoms described below were reported at the time. <br />Signs and Symptoms of Suspected Concussion <br />Possible Symptoms Reported <br />A symptom is something the student will feel/report. Please <br />note any symptoms reported by student. <br />Possible Signs Observed <br />A sign is something that is observed by another <br />person (e.g., parent/guardian, teacher, coach, <br />supervisor, peer). <br />Physical <br />headache <br />pressure in head <br />neck pain <br />feeling off/not right <br />ringing in the ears <br />seeing double or blurry/loss of vision <br />seeing stars, flashing lights <br />pain at physical site of injury <br />nausea/stomach ache/pain <br />balance problems or dizziness <br />fatigue or feeling tired <br />sensitivity to light or noise <br />Cognitive <br />difficulty concentrating or remembering <br />slowed down, fatigue or low energy <br />dazed or in a fog <br />Emotional/Behavioural <br />irritable, sad, more emotional than usual <br />nervous, anxious, depressed <br />Other <br />_______________________________________ <br />_______________________________________ <br />_______________________________________ <br />_______________________________________ <br />Physical <br />vomiting <br />slurred speech <br />slowed reaction time <br />poor coordination or balance <br />blank stare/glassy-eyed/dazed or vacant look <br />decreased playing ability <br />loss of consciousness or lack of responsiveness <br />lying motionless on the ground or slow to get up <br />amnesia <br />seizure or convulsion <br />grabbing or clutching of head <br />Cognitive <br />difficulty concentrating <br />easily distracted <br />general confusion <br />cannot remember things that happened before <br />and after the injury (see Quick Memory Function <br />Assessment on page 2) <br />does not know time, date, place, class, type of <br />activity in which he/she was participating <br />slowed reaction time (e.g., answering questions <br />or following directions) <br />Emotional/Behavioural <br />strange or inappropriate emotions (e.g., <br />laughing, crying, getting angry easily) <br />NOTE: Continued monitoring of the student is important as signs and symptoms of a concussion may <br />appear hours or days later. If any signs or symptoms worsen, call 911.